[Laparoscopic external iliac lymphadenectomy in the treatment of cancer of the cervix uteri].
OBJECTIVE
The aims of this study are to evaluate the feasibility of laparoscopic iliac external lymphadenectomy and to define current indications of this technique in pre-treatment staging of cervical carcinoma.


METHODS
Forty seven patients with FIGO stages IA-IIIB invasive cervical cancer underwent transperitoneal laparoscopic iliac lateral lymphadenectomy prior to initiation of treatment. The mean length of operation was 115 min (35-180). An average of 14 nodes were retrieved from each patient (3-30). Percentage of complete removal was 96% in this study. The rate of complications was 6%, they were always minor. Today's most accepted indications concern: 1) FIGO IA2 stages with lymphovascular involvement or micro-invasion over 3mm, for which a simple resection of lesions can be performed if pN0. 2) Small FIGO IB stages where an exclusive vaginal enlarged colpo-hysterectomy can be performed for pN0. Other indications should not be performed for the moment except for therapeutical trials.
Golfier
F
F
Service de Gynécologie-Obstétrique, Hôtel-Dieu, Lyon.
Raudrant
D
D
Champion
F
F
Bradai
R
R
Gérard
J P
JP
D000328:Adult; D000368:Aged; D001808:Blood Vessels / Q000473:pathology; D002277:Carcinoma / Q000473:pathology / Q000601:surgery*; D002584:Cervix Uteri / Q000601:surgery; D005069:Evaluation Studies as Topic; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007085:Ilium; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008197:Lymph Node Excision / Q000009:adverse effects / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010537:Peritoneum / Q000601:surgery; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*
La lymphadénectomie iliaque externe per-coelioscopieque dans le traitement du cancer du col utérin.